Organization Active NPI

LM Drug Corp

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Liberty, NY
National Provider Identifier
1730281072
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LM DRUG CORP
Doing business as
Medicine Shoppe
Practice address
1987 State Route 52
Ste 3
Liberty, NY 12754-8316
Phone
(845) 292-8200
Fax
(845) 292-9083
NPI assigned
Sep 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa A Baumander, RPH
Title
Owner Pharmacist
Phone
(845) 292-8200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 024129 NY
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1987 State Route 52
Ste 3
Liberty, NY 12754-8316

Mailing address

1987 State Route 52
Ste 3
Liberty, NY 12754-8316

Other identifiers 2

IdentifierTypeStateIssuer
01880244MedicaidNY
3300718OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

1987 State Route 52
Ste 3
Liberty, NY 12754
Phone (845) 292-8200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730281072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 STATE ROUTE 52",
            "address_2": "STE 3",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127548316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 STATE ROUTE 52",
            "address_2": "STE 3",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127548316",
            "telephone_number": "845-292-8200",
            "fax_number": "845-292-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LM DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BAUMANDER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "845-292-8200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "024129",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880244",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3300718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.